Drug Testing Instructions (Observed)

If a Test is Cancelled and DOT Requires a Re-Collection then:

DOT Requires you to send the Driver for an Immediate Re-Collection under Direct Observation without any Prior Notice

• The Driver must get Collected Immediately, when Notified, or it is a Refusal-to-Test.  This is also for Pre-Employment Drug Testing

Drug Testing Instructions (Observed) - Click Here

There are 2 Options for Drug Testing.  Order Online or use the Quest Paper Forms we provide.  After Enrolling, Express Labs does not accept Drug Test Results from other Companies

Option 1: Order Drug Tests Online (Collection Fees Included)

1. Go to "Order Drug Tests" on the Top Left Tabs in your Account
2. Select the Reason for Testing (Return-to-Duty or Follow-Up)
3. Find a Collection Site
4. Order the Drug Test
5. Check your Email for the QPassport (from Quest within 1 Hour)
6. Call the Site to Confirm they are Open and have a Collector that is the same Gender Before Notifying the Driver
7. Bring the QPassport to the Site or the Collector Scans the Barcode from Driver's Phone

Option 2: Paper Quest Diagnostics Forms

In-Network Collection Sites (Collection Fees Included)

• Use the Paper Quest Forms that Express Labs provides if you can not Order Online
• Find In-Network Collection Sites: Click Here
• Call the Site to Confirm they are Open and have a Collector that is the same Gender Before Notifying the Driver

Out-of-Network Collection Sites (Collection Fees Not Included)

• Use Any Site that Collects for Quest with the Paper Quest Forms that Express Labs provides if you can not Order Online
• Find Out-of-Network Collection Sites: Google "DOT Drug Testing Near Me" for Sites that Include Concentra, Hospitals, Private Doctors, Most Urgent Cares
• Call the Site to Confirm they are Open and have a Collector that is the same Gender Before Notifying the Driver

Notifying Drivers for Oberved Drug Testing

Notify Drivers After you have Called the Collection Site to Confirm they are Open After you have received the QPassport.  Drivers who do not Get Tested Immediately when Notified are Required to be Reported to the FMCSA Clearinghouse as a Refusal-to-Test, which is the same as a Positive Result.

What is Abnormal PH?

In a DOT Drug Test, an Abnormal PH Level in a Urine Sample could indicate that the Sample has been Adulterated or Substituted with another Substance.  Urine pH measures the Acidity or Alkalinity of Urine, with a Normal Range of 4.5 to 8

• Abnormal pH levels outside this Range could be a sign of Tampering or Dilution
• Adulteration or Substitution of Urine Samples is a Common Practice among Drivers attempting to Cheat a Drug Test
• Therefore, an Abnormal PH Level in a DOT Drug Test could result in Retesting the Driver under Direct Observation, to ensure the Accuracy and Validity of the Results

What is Invalid Creatinine?

In a DOT Drug Test, Invalid Creatinine means the Creatinine Level in the Urine Sample is Unusual or Out-of-Range. Creatinine is a Waste Product from Muscles and helps verify if the Urine Sample is Legitimate.  Here’s what it might mean:

• Dilution: A very Low Creatinine Level can Indicate the Urine was Diluted, possibly to hide Drug use.
• Substitution: It might suggest the Urine is not Genuine, like if someone used someone else's Urine or a Fake Sample
• Therefore, an Invalid Creatinine Level in a DOT Drug Test could result in Retesting the Driver under Direct Observation, to ensure the Accuracy and Validity of the Results

What is Temperature-out-of-Range?

For a DOT Drug Test, the Temperature of the Urine Sample is a crucial factor in ensuring its Validity.  The Acceptable Temperature Range for a Urine Sample is between 90°F to 100°F (32°C to 38°C) at the time of Collection.  This Temperature Range is considered Normal Body Temperature and is necessary to indicate that the Sample is Fresh and hasn't been Tampered with or Substituted.

• If the Temperature of the Urine Sample falls Outside this Range, it could raise Suspicions of Tampering, Dilution, or Substitution, Potentially Invalidating the Test. Therefore, if the Sample's Temperature is Below 90°F or Above 100°F, the Driver will be asked to provide a 2nd Sample under Direct Observation
• If the Driver leaves the Collection Site after the Collection Process has Started, this is a Refusal to Complete the Test. Refusal-to-Test is treated similarly to a Positive Test Result
• Therefore, a Temperature-out-of-Range in a DOT Drug Test could result in Retesting the Driver under Direct Observation, to ensure the Accuracy and Validity of the Results